23D0933256 CLIA NUMBER - ELK RAPIDS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D0933256
  • Facility Name: ELK RAPIDS PRIMARY CARE
  • Facility Address: 115 BRIDGE STREET
    ELK RAPIDS, MI
    ZIP 49629
  • Facility Phone: 231 264-0399
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN PRAY
  • NPI Number: 1174672968
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0933256
LAB Type Physician Office
Facility Name ELK RAPIDS PRIMARY CARE
Street 115 BRIDGE STREET
City ELK RAPIDS
State MI
ZIP 49629
Phone 231 264-0399
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director STEVEN PRAY

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This page was last updated on: 9/29/2025